Ms Nancy Broderick, LMT is a
Massage Therapist based in Park Ridge, New Jersey. Ms Nancy Broderick is licensed to practice in New Jersey (license number 18KT01129500) and her current practice location is
74 Pascack Rd Ste 5, Park Ridge, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 323-1218.
NPI number for Ms Nancy Broderick is 1811477995 and her current mailing address is 22 Montvale Ave, Montvale, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811477995.
Healthcare Provider's Profile
Full Name | Ms Nancy Broderick |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 74 Pascack Rd Ste 5, Park Ridge, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811477995
- Provider Enumeration Date: 08/17/2018
- Last Update Date: 08/17/2018
Medical Identifiers
Medical identifiers for Ms Nancy Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811477995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18KT01129500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nancy Broderick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nancy Broderick, LMT 22 Montvale Ave, Montvale, NJ 07645-1425 Ph: (201) 323-1218 | Ms Nancy Broderick, LMT 74 Pascack Rd Ste 5, Park Ridge, NJ 07656-1941 Ph: (201) 323-1218 |
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